A client receiving which of the following medications would the nurse identify as being at increased risk for candidal infections?
Antihypertensive therapy.
Antibiotics.
BetaBlockers.
Diuretics.
The Correct Answer is B
Choice A rationale:
Antihypertensive therapy. Rationale: Antihypertensive medications are used to manage high blood pressure. While they may have some side effects, they do not significantly increase the risk of candidal infections. Candidal infections are primarily caused by an overgrowth of Candida, a type of yeast, and are often associated with factors that disrupt the body's normal microbial balance. Antihypertensive drugs do not directly affect the body's susceptibility to candidal infections.
Choice B rationale:
Antibiotics. Rationale: Antibiotics are known to disrupt the normal microbial balance in the body, including the balance of bacteria and yeast. This disruption can lead to an overgrowth of Candida and an increased risk of candidal infections. Antibiotics kill not only harmful bacteria but also beneficial bacteria that help keep Candida in check. This imbalance can result in candidal overgrowth, causing infections such as oral thrush or vaginal yeast infections.
Choice C rationale:
BetaBlockers. Rationale: Beta-blockers are a class of medications commonly used to treat conditions like hypertension, angina, and arrhythmias. They work by blocking the effects of adrenaline, primarily on the heart. While beta-blockers have various side effects, including potential impacts on blood sugar and lipid levels, they do not significantly increase the risk of candidal infections. Candidal infections are more closely associated with medications that disrupt the microbial balance in the body.
Choice D rationale:
Diuretics. Rationale: Diuretics are medications that promote diuresis or increased urine production. They are used to manage conditions such as hypertension, heart failure, and edema. Diuretics primarily affect fluid balance in the body and do not directly increase the risk of candidal infections. While diuretics may lead to electrolyte imbalances, they are not associated with candidal overgrowth. Candidal infections are more often linked to antibiotics or immunosuppressive medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Pseudomembranous colitis Pseudomembranous colitis is a severe inflammation of the colon that can be caused by the overgrowth of Clostridium difficile, often associated with antibiotic use. Antidiarrheal drugs should not be administered in cases of infectious diarrhea, as they can worsen the condition. The nurse should be alert to this contraindication to avoid potential harm to the client.
Choice B rationale:
Type 1 diabetes Type 1 diabetes is not typically a contraindication for antidiarrheal drug use. However, it is essential to consider the overall health of the client and the potential causes of their diarrhea. In some cases, diabetes-related issues could be relevant, but it is not a direct contraindication for antidiarrheal drugs.
Choice C rationale:
Liver disease Liver disease is not a direct contraindication for antidiarrheal drug use. While the liver plays a role in drug metabolism, antidiarrheal drugs primarily affect the gastrointestinal system and do not directly harm the liver. However, individual patient factors and liver function should be considered.
Choice D rationale:
Renal Disease Renal disease is not typically a contraindication for antidiarrheal drug use. These drugs primarily affect the gastrointestinal system and do not have a direct impact on the kidneys. However, in patients with severe renal disease, it is essential to consider their overall health and the potential causes of their diarrhea.
Correct Answer is A
Explanation
Choice A rationale:
Naturally acquired active immunity occurs when an individual is exposed to a disease-causing agent for the first time and develops immunity through their immune response. In this case, the client is exposed to chickenpox for the first time, and the immune system will produce antibodies to provide future protection.
Choice B rationale:
Administration of a vaccine (varicella vaccine) is an example of artificially acquired active immunity. The client's immune system responds to the weakened or inactivated pathogen in the vaccine to produce immunity. This choice does not represent naturally acquired immunity.
Choice C rationale:
Similar to choice B, administration of the influenza vaccine is an example of artificially acquired active immunity. The vaccine contains inactivated influenza virus components, prompting the individual's immune system to develop immunity.
Choice D rationale:
Administration of the rubella vaccine is another example of artificially acquired active immunity. The vaccine stimulates the immune system to produce antibodies against rubella, but this is not an example of naturally acquired immunity.
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